Predictive factors for difficult intravenous cannulation in pediatric patients at a tertiary pediatric hospital

Abstract

This study shows that in one-fifth to one-third of the patients, intravenous cannulation required more than one attempt. It is difficult to predict with accuracy the difficulty of intravenous cannulation solely with easily obtainable patient characteristics.

Tools, Clinical Prediction Rules, and Algorithms for the Insertion of Peripheral Intravenous Catheters in Adult Hospitalized Patients: A Systematic Scoping Review of Literature

“…38 This is supported by other publications that highlight the association between PIVC procedural experience and increased insertion success. 6,23,[39][40][41] With regards to products, PIVC gauge size may or may not be signifi cantly associated with insertion success. For identifying a relationship of PIVC gauge with vein quality, both the vein diameter and description will help with the clinical interpretation of results.…”

Predicting and preventing peripheral intravenous cannula insertion failure in the emergency department: Clinician ‘gestalt’ wins again

“…[2][3][4][5] Both clinician and patient factors contribute to PIVC insertion difficulty. [5][6][7][8][9] The major operator factor is previous PIVC insertion experience. 7,8 Australian EDs have PIVC inserters ranging from novice students to highly experienced, ultrasound-trained emergency physicians.…”

“…[5][6][7][8][9] The major operator factor is previous PIVC insertion experience. 7,8 Australian EDs have PIVC inserters ranging from novice students to highly experienced, ultrasound-trained emergency physicians. Patient factors associated with higher failure rates include clinical factors like hypovolaemia, recent chemotherapy and i.v.…”

Inhalation and intravenous anesthesia in pediatric patients

“…Selbst in einer Kinderklinik und unter Narkose wird jedes 3. bis 5. Kind mehr als einmal punktiert, und bei Kindern im Alter unter einem Jahr gelingt die Venenpunktion auf Anhieb gerade noch in der Hälfte der Fälle [14]. So ist es verständlich, dass weltweit gesehen viele, wohl sogar die meisten Kinder inhalativ eingeleitet werden; in Frankreich z.…”